Document Detail


Vaginal and laparoscopic myomectomy for large posterior myomas: results of a pilot study.
MedLine Citation:
PMID:  12932879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the feasibility and complications of vaginal and laparoscopic myomectomy, and analgesic drug consumption. METHODS: We conducted a pilot study involving 24 women with single, large (>5cm) symptomatic posterior uterine leiomyomas. Twelve women underwent vaginal myomectomy and 12 laparoscopic myomectomy. The main outcome measures were the operating time, peri- and post-operative complications, and analgesic drug consumption. RESULTS: There was no difference in mean age, the rate of nulliparity, and the mean size of myomas between the two groups. The mean operating time was shorter in the vaginal group (96+/-38min versus 166+/-78min; P<0.01). There was no difference in mean blood loss or fibroid weight between the two groups. One of the 12 patients in the vaginal myomectomy group required laparoscopic conversion for an inaccessible fundal myoma. Post-operative morphine consumption was lower in the vaginal group (37.2+/-64mg versus 150.8+/-42mg; P<0.003). No post-operative complications occurred in either group. Gas and stool recovery, the length of hospital stay, and the time required to return to normal activity were similar in the two groups. CONCLUSION: Vaginal myomectomy is feasible and safe, and was associated with a shorter operating time and lower morphine consumption than laparoscopic myomectomy.
Authors:
Anca Birsan; Bruno Deval; Romain Detchev; Christophe Poncelet; Emile Daraï
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  European journal of obstetrics, gynecology, and reproductive biology     Volume:  110     ISSN:  0301-2115     ISO Abbreviation:  Eur. J. Obstet. Gynecol. Reprod. Biol.     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2003-08-22     Completed Date:  2004-05-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0375672     Medline TA:  Eur J Obstet Gynecol Reprod Biol     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  89-93     Citation Subset:  IM    
Affiliation:
Service de Gynécologie, Hôpital Hôtel-Dieu de Paris, AP-HP, 4 rue de la Chine, 75020, Paris, France.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Analgesics, Opioid / administration & dosage
Female
Gynecologic Surgical Procedures / methods*
Humans
Laparoscopy*
Leiomyoma / surgery*
Length of Stay
Morphine / administration & dosage
Pilot Projects
Postoperative Care
Postoperative Complications / epidemiology
Uterine Neoplasms / surgery*
Chemical
Reg. No./Substance:
0/Analgesics, Opioid; 57-27-2/Morphine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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